Results 1 to 2 of 2

Technical 99211

  1. Angry Technical 99211
    Medical Coding Books
    I have a situation that I do not agree with and was seeking some advice. Here is the example for billing:
    99213 pro charge
    99211 tech charge
    94760 tech charge (pulse ox)

    We are a provider based billing hospital, and this above case was seen in an outpatient office. I was instructed to put a 25 modifier on the technical 99211 not the pro 99213 because the pulse ox is a tech code.

    I don't agree with this because the way I was taught when I first got my cpc that that no modifiers go on the tech charges. This could have changed, and Im fine with that, but I need some sort of legimate documentation to support this change.

    What do you think?

  2. #2
    Location
    Columbia, MO
    Posts
    12,913
    Default
    If the pulse ox is a status S or T procedure then yes the facility fee needs a 25 modifier

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Technical vs Professional
    By MCHANDLER in forum Diagnosis Coding
    Replies: 2
    Last Post: 11-16-2015, 11:42 AM
  2. Technical only
    By srivijayavasu in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 03-05-2012, 11:03 AM
  3. Technical vs. Professional
    By Tracey Thompson in forum Billing/Reimbursement
    Replies: 2
    Last Post: 02-03-2012, 01:32 PM
  4. Technical Component
    By jones in forum Modifiers
    Replies: 2
    Last Post: 12-07-2010, 04:39 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.